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大量上消化道出血患者纤溶系统的局部抑制作用

Local inhibition of the fibrinolytic system in patients with massive upper gastrointestinal hemorrhage.

作者信息

Bergqvist D, Dahlgren S, Hessman Y

出版信息

Ups J Med Sci. 1980;85(2):173-8. doi: 10.3109/03009738009179185.

DOI:10.3109/03009738009179185
PMID:7018048
Abstract

The effect or oral tranexamic acid on massive upper gastrointestinal hemorrhage was evaluated in a randomized double-blind study. Totally 50 patients entered the trial and seven were excluded, leaving 22 placebo treated and 21 tranexamic acid treated for analysis. The groups were comparable regarding sex, age, diagnosis, and initial laboratory data. Transfusions requirements and operation frequency did not differ. Mortality was slightly reduced and death delayed in tranexamic acid treated patients.

摘要

在一项随机双盲研究中评估了口服氨甲环酸对大量上消化道出血的疗效。共有50名患者进入试验,7名被排除,剩余22名接受安慰剂治疗和21名接受氨甲环酸治疗的患者进行分析。两组在性别、年龄、诊断和初始实验室数据方面具有可比性。输血需求和手术频率没有差异。氨甲环酸治疗的患者死亡率略有降低,死亡延迟。

相似文献

1
Local inhibition of the fibrinolytic system in patients with massive upper gastrointestinal hemorrhage.大量上消化道出血患者纤溶系统的局部抑制作用
Ups J Med Sci. 1980;85(2):173-8. doi: 10.3109/03009738009179185.
2
Tranexamic acid in massive haemorrhage from the upper gastrointestinal tract: a double-blind study.氨甲环酸在上消化道大出血中的应用:一项双盲研究。
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Cimetidine and tranexamic acid in the treatment of acute upper-gastrointestinal-tract bleeding.西咪替丁与氨甲环酸治疗急性上消化道出血
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Effects of fibrinolytic inhibitors on mortality from upper gastrointestinal haemorrhage.纤维蛋白溶解抑制剂对上消化道出血死亡率的影响。
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Tranexamic acid in gastric and duodenal bleeding.氨甲环酸用于胃和十二指肠出血
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Tranexamic acid in acute upper gastrointestinal bleeding.氨甲环酸用于急性上消化道出血
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Tranexamic acid and upper gastrointestinal haemorrhage--a double-blind trial.氨甲环酸与上消化道出血——一项双盲试验
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Cimetidine and tranexamic acid for upper-gastrointestinal-tract bleeding.西咪替丁和氨甲环酸用于上消化道出血
N Engl J Med. 1983 Nov 24;309(21):1328. doi: 10.1056/NEJM198311243092116.

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Transfusion strategies in bleeding critically ill adults: a clinical practice guideline from the European Society of Intensive Care Medicine.严重出血的成年患者输血策略:欧洲重症监护医学学会临床实践指南。
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Is There a Role for Tranexamic Acid in Upper GI Bleeding? A Systematic Review and Meta-Analysis.氨甲环酸在上消化道出血中是否有作用?一项系统评价和荟萃分析。
Surg Res Pract. 2021 Jan 29;2021:8876991. doi: 10.1155/2021/8876991. eCollection 2021.
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Role of Tranexamic Acid in the Clinical Setting.氨甲环酸在临床环境中的作用。
Cureus. 2020 May 21;12(5):e8221. doi: 10.7759/cureus.8221.
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Tranexamic acid for upper gastrointestinal bleeding.氨甲环酸用于上消化道出血。
Cochrane Database Syst Rev. 2014 Nov 21;2014(11):CD006640. doi: 10.1002/14651858.CD006640.pub3.
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